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10,187 Chain-Owned Nursing Homes in the United States

10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).

How chain-owned homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 381 to 400 of 10,187, best-graded first.

A

90/100

Oak Ridge Healthcare Center

Roseville, CA · Placer County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
29%
Serious cites
0

Oak Ridge Healthcare Center runs 4.15 nurse hours per resident day, about 7% above the national average, and its staff tends to stick around, 29.2% annual turnover against a national rate near 46%. Weekend coverage dips roughly 10% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The 26 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in May 2026, so the picture is current. A for-profit LLC operates the 67-bed home. Strong marks on quality measures and staffing sit alongside a middle-of-the-road inspection history.

A

90/100

Beachside Post Acute

Torrance, CA · Los Angeles County

CMS 5/5110 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
32%
Serious cites
0

Beachside Post Acute runs 110 beds in Torrance under for-profit LLC ownership, and the staffing picture is better than most: 4.19 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 31.8% against a 45.8% national average, which matters for whether caregivers actually know the residents. The trade-off is in the inspection history, 31 deficiencies on record, including three tied to abuse, though none reached harm or jeopardy level. The most recent inspection was December 2025, so that record is current, and the 4/5 health inspection and 5/5 quality measure ratings suggest the problems found were correctable rather than systemic.

A

90/100

Coastal View Healthcare Center

Ventura, CA · Ventura County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
24%
Serious cites
0

Coastal View in Ventura runs on 5.22 nurse hours per resident day, about a third more staffing than the national average, and its caregivers tend to stick around, turnover is roughly half the national rate. Quality measures score at the top of CMS's scale, and the last inspection was recent, December 2025. The record isn't spotless. Inspectors have logged 36 deficiencies, one serious enough to involve harm, and a fine of $8,278. Weekend staffing also dips below its own weekday level, which is worth asking about directly. The strong staffing and low turnover are doing most of the work here; the survey history is what keeps this from being a cleaner picture.

A

90/100

The Meadows Post Acute

Panorama City, CA · Los Angeles County

CMS 2/598 bedsFor-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
30%
Serious cites
0

The Meadows Post Acute sits in Panorama City with 98 certified beds and a for-profit LLC owner. Its nurse staffing runs 4.57 hours per resident day, about 18% above the national average, and turnover is 29.5%, noticeably better than the 45.8% typical nationwide. Those are real strengths. But the inspection record tells a different story: 46 deficiencies, three at the harm or jeopardy level and two tied to abuse, plus a $20,790 fine and a one-star health inspection rating. The most recent inspection date is February 12, 2026. With weekend staffing about 9% below its weekday level, consistent coverage may be a question worth asking about directly.

A

90/100

Pacific Palms Healthcare

Long Beach, CA · Los Angeles County

CMS 2/5133 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
27%
Serious cites
0

Pacific Palms Healthcare has a staffing story that looks good on paper, 4.25 nurse hours per resident day, roughly 10% above the national average, and turnover at 26.7% against a national 45.8%. But the inspection record tells a different story: 67 deficiencies, including one at the harm level and four tied to abuse. The single health inspection star of 1 out of 5 reflects that, even as the quality measure rating sits at 5 out of 5. That gap between reported quality scores and actual survey findings is worth sitting with. Weekend staffing also dips about 9% below weekday levels. The last inspection was in November 2025, so the record is current.

A

90/100

Tampico Healthcare Center

Walnut Creek, CA · Contra Costa County

CMS 4/5128 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
32%
Serious cites
0

Tampico Healthcare Center runs 128 beds in Walnut Creek under individual for-profit ownership, and its staffing is the strongest part of the story: 4.47 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping only about 10% below its own weekday level. Annual turnover sits at 32.3%, well under the 45.8% national figure, which suggests a steadier crew than most. The tradeoff is inspection history, 40 deficiencies on record, two tied to abuse, though none at the harm or jeopardy level, and the most recent survey was in March 2025. Quality measures score 5/5, staffing 4/5, inspections 3/5.

A

90/100

Rowan Community, Inc

Denver, CO · Denver County

CMS 4/565 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
30%
Serious cites
0

Rowan Community runs 65 certified beds in Denver under corporate for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national average of 3.86. Weekends run roughly 11% thinner than weekdays, which matters if your family visits or calls on Saturdays and Sundays. Where it stands out is retention: 29.8% annual turnover against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The tradeoff shows up in inspections, 28 deficiencies on record, including 2 at harm level and 3 abuse-related, with a 2/5 inspection rating and a $4,622 fine.

A

90/100

Hallmark Nursing Center

Denver, CO · Denver County

CMS 5/5143 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Hallmark Nursing Center runs 143 beds in Denver under corporate ownership, and its inspection record is recent, February 2024, with 21 deficiencies logged, four of them serious enough to involve harm or jeopardy. No abuse citations appear in that record, and a single fine of $6,788 is modest. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average, and weekends run about 11% thinner than weekdays, so coverage does dip. What stands out is retention: turnover of 27.9% is well below the 45.8% national figure, meaning the aides and nurses here tend to stay.

A

90/100

Life Care Center Of Littleton

Littleton, CO · Arapahoe County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
48%
Serious cites
0

Life Care Center Of Littleton runs 120 beds under corporate ownership, and its nurse staffing sits at 4.13 hours per resident day, about 7% above the national average, though weekends drop roughly 11% below its own weekday levels. Staff turnover is 48.3%, a few points above the national figure. The inspection record shows 26 deficiencies, including one at the harm or jeopardy level and one abuse-related citation; the last inspection was in November 2024, and CMS gives the health inspection side 2 out of 5 stars while quality measures earn 5. The staffing number is real, but so are the citations and the weekend dip.

A

90/100

Continuing Care At Wind Crest

Highlands Ranch, CO · Douglas County

CMS 5/544 bedsNon-profit
Nurse hours
5.11 /day
Staff turnover
49%
Serious cites
0

Continuing Care At Wind Crest runs a 44-bed nonprofit home in Highlands Ranch, and its staffing is the headline: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 48.5%, a bit above the 45.8% national figure, so continuity of caregivers isn't guaranteed. The inspection record is strong, the most recent look was in August 2024, with seven deficiencies logged, none causing harm or jeopardy and none related to abuse.

A

90/100

Boulevard Rehabilitation Center

Boynton Beach, FL · Palm Beach County

CMS 4/5167 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
31%
Serious cites
0

Boulevard Rehabilitation Center runs 167 certified beds in Boynton Beach under corporate ownership, and its numbers point to a place that's steady rather than spectacular. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, a gap families should ask about directly, since that's when problems tend to surface. The stronger signals: staff turnover of 31.3% is well below the national 45.8%, which suggests less churn than most homes, and its 21 deficiencies include none at the harm level, though one is abuse-related and worth asking about. Last inspected February 2025.

A

90/100

Broward Nursing & Rehabilitation Center

Fort Lauderdale, FL · Broward County

CMS 5/5198 bedsFor-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
24%
Serious cites
0

Broward Nursing & Rehabilitation Center runs on unusually strong nurse staffing for a for-profit home, 4.60 hours per resident day, roughly 19% above the national average, and it earns the top federal staffing rating because of it. Turnover sits at 23.9%, about half the national rate of 45.8%, which matters more than any single inspection score: consistent caregivers know the residents. The trade-off is on the health side. Fifteen deficiencies are on the current record, though none at the harm or jeopardy level and none abuse-related, and the last inspection was in February 2025. Weekend staffing dips about 12% below its own weekday level, worth asking about if your family visits Saturdays and Sundays.

A

90/100

Crestview Rehabilitation Center, Llc

Crestview, FL · Okaloosa County

CMS 5/5180 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
34%
Serious cites
0

Crestview Rehabilitation Center runs 180 certified beds under corporate for-profit ownership, and the numbers behind its record are mostly steady. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average of 3.86, and weekends dip about 9% below its own weekday levels, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is 34.4%, which is meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. Four deficiencies sit on the current record, none at the harm level and none abuse-related, with the most recent inspection in August 2025.

A

90/100

Abbey Delray South

Delray Beach, FL · Palm Beach County

CMS 4/590 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
15%
Serious cites
0

Abbey Delray South runs on unusually steady staffing for a Florida nursing home. Nurses provide about 4.16 hours of care per resident each day, roughly 8% above the national average, and only 14.5% of staff left over the past year, the typical U.S. nursing home loses closer to 46%. That continuity matters, though weekend coverage dips about 9% below weekday levels. The tradeoff shows up in inspections: 29 deficiencies on the current record, including one abuse-related finding, none rising to harm or jeopardy, and a single $4,963 fine. The most recent inspection was February 2025. The nonprofit owner holds a 2-star health inspection rating against 5-star marks for staffing and quality measures.

A

90/100

Palm Garden Of Port Saint Lucie

Port Saint Lucie, FL · St. Lucie County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
24%
Serious cites
0

Palm Garden of Port Saint Lucie runs leaner on nursing hours than the typical Florida home, 3.62 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday pace, so families should ask how weekend coverage actually looks on the unit their relative lands on. The standout number is turnover: 23.7%, roughly half the national rate, which matters because consistent caregivers notice changes sooner. Twenty deficiencies sit on the current record with none at harm or jeopardy level, and inspectors last visited in July 2024. A for-profit corporate owner, decent inspection history, five stars on quality measures.

A

90/100

Vivo Healthcare Fort Pierce

Fort Pierce, FL · St. Lucie County

CMS 3/579 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
30%
Serious cites
0

Vivo Healthcare Fort Pierce runs 79 certified beds under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 8% below its own weekday coverage, so the thinnest hours land when families tend to visit. Staff turnover is 30.3%, well under the 45.8% national figure, which matters for consistency of care. Inspections in February 2025 turned up 24 deficiencies, none at harm or jeopardy level and none abuse-related; the health inspection rating is 3 out of 5, while quality measures score 5 out of 5. The staffing measure sits at 4 out of 5.

A

90/100

Boynton Beach Rehabilitation Center

Boynton Beach, FL · Palm Beach County

CMS 5/5168 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
28%
Serious cites
0

Boynton Beach Rehabilitation Center runs 168 certified beds under for-profit LLC ownership, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so timing matters if you're visiting or checking in on care. Turnover is the bright spot: 28% against a national 45.8%, which suggests a steadier crew than most places. The inspection record shows 18 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was October 2024. Quality measures score well; staffing and inspections land in the middle.

A

90/100

Westminster Oaks

Tallahassee, FL · Leon County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
29%
Serious cites
0

Westminster Oaks runs a tight ship on the things that are hardest to fake. Its last inspection was in August 2025, and the record shows four deficiencies with none rising to harm or jeopardy and nothing abuse-related. Nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends dip about 9% below its own weekday level, so coverage thins out on Saturdays and Sundays. The number worth noticing is turnover: 29% against a national average of 45.8%, meaning far fewer people are cycling out the door than at the typical home. That kind of retention tends to show up in how consistently residents see the same faces.

A

90/100

Solaris Healthcare Windermere

Orlando, FL · Orange County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
16%
Serious cites
0

Solaris Healthcare Windermere runs on a non-profit model in Orlando with 120 beds, and its inspection record is the strongest thing about it, a five-star health inspection rating with just six deficiencies on the books, only one of which rose to the harm or jeopardy level. That's a clean sheet for a home this size, and no abuse findings at all. Staffing is where it gets more ordinary: 3.70 nurse hours per resident day sits about 4% under the national average, and weekends dip roughly 5% below the home's own weekday numbers, so coverage thins out when families tend to visit. The offsetting fact is turnover at 15.5%, well under the national 45.8%, the same faces, year after year, which matters more than a decimal.

A

90/100

Life Care Center At Inverrary

Lauderhill, FL · Broward County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
27%
Serious cites
0

Life Care Center At Inverrary runs 120 certified beds in Lauderhill under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. Turnover is the standout number here: 26.7% annually against a national average of 45.8%, meaning far fewer caregivers cycling out the door than at a typical home, though weekend staffing dips about 11% below weekday levels, so coverage thins out on Saturdays and Sundays. Inspectors documented 22 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025.

Frequently asked questions

How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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